Most Relevant Information
Provider Data
| NPI Number: | 1003223074 |
| Provider Name: | LASHONDA LANE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC009496 |
Most Important Dates
| Enumeration Date: | 07/22/2014 |
| Last Updated: | 10/24/2022 |
Provider Practice Location
3729 MAIN ST
COLLEGE PARK
GA
303373544
Practice Location Phone/Fax
| Phone: | 4706101754 |
| Fax: |
Provider Mailing Location
3729 MAIN ST
COLLEGE PARK
GA
303373544
Provider Mailing Phone/Fax
| Phone: | 4706101754 |
| Fax: |